58775***RECEIPT***
Date: 09/03/13 Receipt: 58775
Quantity Transactions Reference Subtotal
3 Cert. Copies -Death 58775 $30.00
Total Paid: $30.00
Notes: Clegg
Payment Type Amount Paid By
CASH $30.00 White &Venuto Funeral
Home
Name: White &Venuto Funeral Home
188 North Plank Road
Newburgh, N Y 12550
Clerk ID: JF Internal ID: 58775